Active NPI
Nichole Ruth Deleon, SOCIAL WORK TRAINEE
- Social Worker
- Lancaster, OH
National Provider Identifier
1518744754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 106 Starret St Ste 100
Lancaster, OH 43130-3993 - Phone
- (740) 687-0042
- NPI assigned
- Sep 12, 2023
- Last updated
- May 28, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | S.2202614-TRNE | OH | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
106 Starret St Ste 100
Lancaster, OH 43130-3993
Mailing address
106 Starret St Ste 100
Lancaster, OH 43130-3993
Phone (740) 687-0042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2202614-TRNE | OH | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Ohio Psychological Services Inc | Social Worker | Current | Accepting new patients |
| Mid-Ohio Psychological Services Inc | Social Worker | Current | Accepting new patients |
Locations
106 Starret St
Ste 100
Lancaster, OH 43130
Phone (740) 687-0042
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1518744754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 STARRET ST STE 100",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431303993",
"telephone_number": "740-687-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 STARRET ST STE 100",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431303993",
"telephone_number": "740-687-0042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELEON",
"first_name": "NICHOLE",
"middle_name": "RUTH",
"credential": "SOCIAL WORK TRAINEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-12",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "S.2202614-TRNE",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.